CNA Chapter 26

Why is it important to enter the room often when a resident is using a mechanical ventilator

Residents on ventilators cannot speak, which can cause intense anxiety. The resident may think that no one will know if he has trouble breathing.

_______________________________ involves the use of medication to calm a person.

Sedation

A serious illness usually caused by a bacterial infection is called

Sepsis

What disorder can put a person at a higher risk for sepsis? (A) Diabetes (B) Eczema (C) Otitis (D) Chlamydia

(A) Diabetes

1. What is one NA responsibility regarding feeding tubes? (A) The NA positions the resident for the feeding. (B) The NA performs the feeding. (C) The NA inserts the feeding tube. (D) The NA cleans the feeding tube.

(A) The NA positions the resident for the feeding.

What is one condition that can require an order for a tube feeding? (A) Depression (B) Cancer (C) Dialysis (D) Anaphylaxis

(B) Cancer

What is one problem associated with chest tubes that should be reported by the nursing assistant? (A) The drainage system is below chest level (B) Resident takes two naps per day (C) Clots are in the drainage tubing (D) The drainage containers are upright

(C) Clots are in the drainage tubing

What is one NA responsibility regarding suctioning (A) The NA changes the tubing daily. (B) The NA performs the suctioning. (C) The NA reports signs of respiratory distress. (D) The NA decides when a resident needs suctioning

(C) The NA reports signs of respiratory distress.

When using a pulse oximetry device, which of the following should be avoided? (A) Excessive fluids (B) Loose tape (C) Supine position (D) Nail polish

(D) Nail polish

Preoperative fluid restrictions can help prevent (A) Blood clots (B) Contractures (C) Kidney stones (D) Vomiting

(D) Vomiting

Normal pulse oximetry readings are considered to be

From 95% to 100%

The process of removing poisons from the body can be done by using

Gastric suctioning

What does tracheostomy care generally involve

General tracheostomy care includes keeping the skin around the opening, or stoma, clean, assisting with dressing changes, and helping with the cleaning of the inner part of the device.

What observations should NAs make about chest drainage

changes in amount, color, or consistency of chest drainage

What kinds of conditions require subacute care?

"Recent surgery or acute conditions, such as total joint replacements, cardiac surgery, or recent stroke, or chronic illnesses, such as AIDS or cancer."

One possible complication that can result from a tube feeding is (A) Aspiration (B) Cystitis (C) Loose lead (D) Phlebitis

(A) Aspiration

Repositioning a resident on a mechanical ventilator must be done at least every

2 hours

What does a pulse oximeter measure?

oxygen saturation in the blood and pulse rate

A pulse oximeter sensor is normally clipped on a person's

Finger

What is the purpose of artificial airways

Artificial airways help maintain an airway and facilitate ventilation.

What is a type of intravenous line that is inserted into a large vein in the body?

Central venous line

What does a telemetry device monitor

The heart's rhythm and rate

The intravenous infusion of nutrients bypassing the digestive tract is referred to as TPN, which stands for

Total parenteral nutrition

What signs and symptoms should the NA report to the nurse when a resident is on dialysis

signs of respiratory distress; changes in vital signs, especially pulse or blood pressure; pain, drainage, redness, swelling, or bleeding from the insertion site; abdominal cramps, nausea, or vomiting; muscle cramps; swelling of extremities (edema); change in intake and output; or itchy skin.